Spinal mobilization & manipulation- which is the Order of the day?

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Bronfort G et al studied the efficacy of spinal manipulative therapy (SMT) and mobilization (MOB) for the management of low back pain (LBP) and neck pain (NP), with special attention to applying more stringent criteria for study admissibility into evidence and for isolating the effect of SMT and/or MOB. Bronfort G et al suggested that recommendations can be made with some confidence regarding the use of SMT and/or MOB as a viable option for the treatment of both low back pain and NP. Assendelft WJ et al studied the discrepancies related to the use of spinal manipulative therapy and to update previous estimates of effectiveness, by comparing spinal manipulative therapy with other therapies and then incorporating data from recent high-quality randomized, controlled trials (RCTs) into the analysis. Assendelft WJ et al found there is no evidence that spinal manipulative therapy is superior to other standard treatments for patients with acute or chronic low-back pain.

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